testing542


Australia - Bangladesh - Bhutan - Brunei - Cambodia - China - Fiji - Hongkong - India - Indonesia - Japan - Laos - Malaysia - Mongolia - Nepal - New Zealand - Pakistan - Papua New Ghinea - Philippines - Singapore - South Korea - Sri Lanka - Taiwan - Thailand - Vietnam



Australia

 

Locally Available:

Yes. Name brand Truvada is available locally. Generic alternatives are not available locally, but are available online. You can find a list of doctors that prescribe PrEP: www.pan.org.au/doctors

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include Dynamix and Pulse Clinic.

Import Restrictions:

Some. A three-month supply for personal use is permissible.

Advocacy Groups:

Australian Federation of AIDS Organizations (AFAO); AIDS Council of New South Wales (ACON); Victorian AIDS Council

Other:

PrEP is widely available and accessible in Australia. The Australian government subsidises PrEp through the Pharmaceutical Benefits Scheme (PBS). For more information about what this means please see the AFAO PrEP Factsheet (English). The factsheet is also available in Plain English, Chinese, Thai, Vietnamese and Indonesian.

 

 



BANGLADESH

Locally Available:

No.

Online Availability:

No.

Import Restrictions:

Unclear.

Advocacy Groups:

Some.

Bandhu Welfare Society

Other:

N/A



BHUTAN

Locally Available:

No.

Online Availability:

No.

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

N/A



BRUNEI

Locally Available:

No.

Online Availability:

No.

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

N/A



CAMBODIA

Locally Available:

No.

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include: Greencross pharmacy; Pulse Clinic

Import Restrictions:

Unclear.

Advocacy Groups:

Yes.

Khmer HIV/AIDS NGO Alliance (KHANA)

Other:

To the best of our knowledge, there are no known PrEP programs or services in Cambodia.



CHINA

Locally Available:

No.

Online Availability:

Yes.Possible online PrEP providers to inquire about PrEP in this country include: Pulse Clinic.

Import Restrictions:

Unclear.

Advocacy Groups:

China Male Tongzhi Health Forum (CMTHF)

Other:

Although, the recommended medication for PrEP, Truvada (tenofovir/emtricitabine), is available and approved for treatment of HIV infection, yet is not yet approved for prevention.

Some private clinics are prescribing PrEP as prevention at a cost of 2,000 Yuan for a 1-month supply (USD$300).

Beijing You’An Hospital is enrolling people in trials; PrEP may be available there.



FIJI

Locally Available:

No.

Online Availability:

No.

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

N/A



HONG KONG

Locally Available:

Yes. Brand name Truvada is locally available but largely unaffordable. Generic alternatives are not yet locally available.

Online Availability:

Yes.

Online providers to inquire about PrEP in this country include: Inhousepharmacy; Pulse Clinic; Neohealth group

Import Restrictions:

Some. The importation of pharmaceutical products and medicine are controlled under the Import and Export Ordinance (Cap. 60), thus must be covered by a license issued by Department of Health under delegated authority of the Director-General of Trade and Industry Department.

Pharmaceutical products and medicines imported in the personal baggage of a person entering Hong Kong and which are accompanied by him and in a reasonable quantity for his personal use may be exempted from licensing requirement. People who are going overseas to get access to PrEP are therefore strongly advised to keep a medical certificate provided by the prescribing doctor with themselves when they have to bring PrEP to Hong Kong for personal use.

You may call the Drug Office of Department of Health (Tel.: 2319 8460) for enquiries relating to import/export of pharmaceutical products and medicine or Customs and Excise Department (Tel.: 2815 7711) for general enquiry on Customs clearance. - AIDS Concern

Advocacy Groups:

Yes. 關懷愛滋 AIDS Concern;

Other:

PrEP is not yet available in the public health system in Hong Kong. Some private doctors are prescribing but the cost is quite high, which is priced at approximately 8,000 to 10,000 HKD a month. If you want to get PrEP privately please contact AIDS Concern by telephoning 2898 4411 so that they can advise you on possible clinics. - AIDS Concern Hong Kong Department of Health Guidelines on PrEP: here

 



INDIA

Locally Available:

No.

Online Availability:

Yes.Possible online PrEP providers to inquire about PrEP in this country include: Inhousepharmacy; Pulse Clinic

Import Restrictions:

Unclear.

Advocacy Groups:

Yes.

Other:

Currently, there is one Indian PrEP demonstration project. This project is led by the Sonagachi project and focused on female sex workers. Other Indian demonstration projects are needed to provide evidence to support wider implementation.



INDONESIA

Locally Available:

No.

Online Availability:

Yes.Possible online PrEP providers to inquire about PrEP in this country include:  Pulse Clinic (through Yayasan Kasih Suwitno, Bali Peduli, and Balimedika)

Import Restrictions:

Some. Three-month supply for personal use.

Advocacy Groups:

Yes. Balimedika; Indonesia AIDS Coalition

Other:

In Indonesia, there have been discussions about providing PrEP to key populations.  However, due to the rise of gay men being punished and prosecuted for having sex with other men or engaging in group sex, there have been concerns from donors / PrEP implementors that providing PrEP may be putting MSM lives in jeopardy of stigma and discrimination.

Some private health clinics are providing access to PrEP in Indonesia through partnerships with clinics abroad.



JAPAN

Locally Available:

N/A

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include: Alldaychemist;

Import Restrictions:

Yes. Only a 1 month supply for personal use is permissible.

Advocacy Groups:

No.

Other:

Although the recommended medication for PrEP, Truvada (tenofovir/emtricitabine), is available and approved for treatment of HIV infection in Japan, it is not approved for use as prevention.

Japan does not provide PrEP to residents through the national insurance system, nor it is legally possible to buy PrEP anywhere in the country.

Whether the situation will change soon or not isn't clear. In the meantime, the generic drug for PrEP can be legally purchased online from overseas and imported into Japan, but the orders cannot exceed the 1-month limit for personal import.

PrEPWatch.org reports that a clinical study to determine whether HIV infection rates can be reduced if individuals take anti-viral medicine on a daily on-going at the National Center for Global Health and Medicine PrEP Demo.



LAOS

Locally Available:

N/A

Online Availability:

N/A

Import Restrictions:

Some.Three-month supply for personal use.

Advocacy Groups:

Yes.Positive Health Organization (LaoPHA)

Other:

To the best of our knowledge, PrEP is not available in Laos. PrEPwatch.org has reported that PEPFAR is working on implementing a project to provide PrEP To adults and adolescents at risk of HIV infection through piloted community-based programs.



MALAYSIA

Locally Available:

Limited. See more info below.

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include: Dynamix; Inhousepharmacy;

Import Restrictions:

Some.Three-month supply for personal use.

Advocacy Groups:

Yes. Malaysia AIDS Counci (MAC)

Other:

PrEP has been included as part of Malaysia’s National Strategic Plan to end AIDS by 2030.

In Penang, the Penang Family Health Development Association (FHDA) is providing counselling, information, and services for PrEP services. They offer a 1-month supply of PrEP for 120 MYR (USD$30). Please call ahead to make an appointment before. For PrEP related appointments, visit FHDA Clinic, 16/18 Kg Kolam, 10200 Penang. Tel. 04-2622225. Open Tuesdays to Saturdays (except public holidays).

In Kuala Lumpur, you may inquire about PrEP services at the Red Clinic, a private clinic that offers PrEP prescriptions after a doctor consultation.

PrEPwatch.org has reported two demonstration projects underway in Malaysia (starting in March 2018.). One is a pilot study of oral pre-exposure prophylaxis for HIV prevention in for men who have sex with men in Klang Valley, Malaysia and the other a pilot study of oral pre-exposure prophylaxis for HIV prevention for transgender women in Malaysia.



MONGOLIA

Locally Available:

N/A

Online Availability:

N/A Possible online PrEP providers to inquire about PrEP in this country include: Dynamix; Inhousepharmacy;

Import Restrictions:

Unclear.

Advocacy Groups:

Yes.

Other:

To the best of our knowledge, Truvada is not available in Mongolia, nor is it in the list of medicines approved by the resolution of the Social Welfare National Council that one can access with discount under the universal health insurance.



Myanmar

Locally Available:

N/A

Online Availability:

N/A

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

Although Myanmar has included PrEP in their National Strategic Plan on HIV and AIDS, Currently, Myanmar has no PrEP programs in place.

A 2016 initial assessment testing the acceptability of PrEP in Myanmar found that 39% of men would be willing to use it—though the cost of the drug would be a potential barrier.The report also suggested that because sex between men is illegal in Myanmar, it is unlikely that PrEP would be accessed through government systems. It would have to be administered in a safer social environment by NGOs or community-led services.



Nepal

Locally Available:

No.

Online Availability:

N/A

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

PrEP has been introduced in the National HIV Testing and Treatment guidelines.

 



NEW ZEALAND

Locally Available:

Yes. You may find a list of NZ PrEP provider here.

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include Dynamix; Pulse Clinic.

Import Restrictions:

Some. Three-month supply for personal use.

Advocacy Groups:

Yes. New Zealand AIDS Foundation (NZAF)

Other:

PrEP is publicly funded for New Zealand. For those who meet certain Criteria, it is available on prescription at local pharmacies at a cost of NZD$5 for each 3-month supply.



PAKISTAN

Locally Available:

No.

Online Availability:

No.

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

N/A



PAPUA NEW GUINEA

Locally Available:

No.

Online Availability:

No.

Import Restrictions:

Unclear.

Advocacy Groups:

No.

Other:

N/A

 



PHILIPPINES

Locally Available:

Somewhat

Online Availability:

Yes.Possible online PrEP providers to inquire about PrEP in this country include Dynamix; Pulse Clinic.

Import Restrictions:

Some. Three-month supply for personal use.

Advocacy Groups:

Yes. Loveyourself.ph

Other:

In the Philippines, PrEP can currently be accessed through enrolling in Project PrEPPY (PrEP Pilipinas) a pilot project that will evaluate community-based, peer-driven delivery of PrEP services for MSM and transgender women at high risk for HIV in Manila. For this project, 200 HIV-negative MSM and transgender women at risk of infection will be offered free PrEP at LoveYourself’s two clinics in Manila.



SINGAPORE

Locally Available:

Yes.Places, where PrEP is available, include the National University Hospital (NUH) at its Be Prepared Clinic and also at Tan Tock Seng Hospital.

Name brand Truvada is available but largely unaffordable. Generic alternatives are not locally available.

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include: Dynamix; inhousepharmacy; pulse clinic (via Action for AIDS Singapore, DSC Clinic, or Tanjong Pagar Medical Clinic)

Import Restrictions:

Some. Three-month supply for personal use.

Advocacy Groups:

Yes. Action for AIDS Singapore

Other:

N/A

 



SOUTH KOREA

Locally Available:

Yes.Name brand Truvada is available but largely unaffordable. Generic alternatives are not locally available.

Online Availability:

Yes.Possible online PrEP providers to inquire about PrEP in this country include Pulse Clinic.

Import Restrictions:

Some. Three-month supply for personal use.

Advocacy Groups:

No.

Other:

South Korea’s Ministry of Food and Drug Safety approved Truvada for use as an HIV-preventative method. However, the drug remains largely inaccessible due to the high cost.

Click here for the latest information from the South Korea Ministry of Health & Welfare.

 



SRI LANKA

Locally Available:

No.

Online Availability:

N/A

Import Restrictions:

Some. Must be for personal use and proper documentation must be procured.

Advocacy Groups:

No.

Other:

In 2017, PrEP rollout program was included into the country’s 5-year National Strategic Plan (NSP) to assess the feasibility of integrating PrEP into the HIV prevention package in Sri Lanka. To the best of our knowledge, there are currently no PrEP program or service.



TAIWAN

Locally Available:

Yes.Name brand Truvada is available but relatively expensive. Generic alternatives are not locally available.  There may be clinical trials offering PrEP at reduced or no-cost to certain populations in Taiwan. List of hospitals and clinical trials offering PrEP in Taiwan can be found here.

Online Availability:

Yes.Inquire with: Pulse Clinic; Inhousepharmacy

Import Restrictions:

Some. Three-month supply for personal use.

Advocacy Groups:

Yes. PrEP Taiwan; Adam’s Love

Other:

Taiwan’s National Health Insurance does not currently reimburse the cost related to PrEP.

 



THAILAND

Locally Available:

Yes. Name brand Truvada and generics are both available for purchase.

Places, where PrEP is available, are listed here.

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include: Pulse Clinic

Import Restrictions:

N/A. PrEP is accessible in Thailand and is already cheap relative to other places. You do not need to import it.

Advocacy Groups:

Yes. Adams Love; APCOM; TestBKK; Pulse Clinic

Other:

In Thailand, PrEP has been introduced in their National Guidelines in 2014.  Later that year, it rolled out the country's first affordable fee-based PrEP services at the Thai Red Cross Anonymous Clinic for Thai and non-Thai clients with services costing about 30 baht (1 USD) a day.

PrEP was included in the Thailand National Guidelines on HIV/AIDS Treatment and Prevention 2017.  In 2017, the country launched a program to strengthen public health system to provide PrEP in hospitals and health centres in 7 provinces which aims to provide PrEP to 750 MSM, TGW, and serodiscordant couples.



Vietnam

 

Locally Available:

Yes.Pre-exposure prophylaxis, or PrEP, is available at medical centres in Districts 1, 8, 11 and Thu Duc, as well as several private clinics in the city1

Possible organizations where PrEP can be accessed include CARMAH; the Healthy Market Project; An Hao Clinic; My Home Clinic; Galant Clinic; G-Link.

Online Availability:

Yes. Possible online PrEP providers to inquire about PrEP in this country include:  Pulse Clinic; Duy Anh Pharmacy Company

Import Restrictions:

Some. PrEP can be brought to Vietnam with a prescription so long as it is only for personal use.

Advocacy Groups:

Yes. PrEP Viet ; Lighthouse Facebook Page ; G-Link Clinic ;Galant Clinic ;Light Clinic

Other:

Beginning in March 2017, pilot interventions supported by the US President’s Emergency Plan for AIDS Relief through USAID/PATH’s Healthy Markets project and the US Agency for International Development (AID) through the Centre for Applied Research for Men And Community Health (CARMAH) have made PrEP available to men who have sex with men, transgender women, and HIV-negative partners of those diagnosed with HIV in HCM City and Hà Nội.  

These PrEP services are being provided by public outpatient clinics, private clinics and associated key population-led civil society organisations.